NPIMap

Organization Active NPI

Coastal Pharmacy Services LLC

Doing business as Coastal Pharmacy Services

  • Long Term Care Pharmacy
  • Madisonville, LA
National Provider Identifier
1235653916
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
COASTAL PHARMACY SERVICES LLC
Doing business as
Coastal Pharmacy Services
Practice address
1922 Highway 22 W Ste a
Madisonville, LA 70447-9490
Phone
(985) 792-9001
Fax
(985) 792-9004
NPI assigned
Aug 3, 2017
Last updated
May 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hunter Farrar, PHARMDNPI 1275932535
Title
Ceo & Founder
Phone
(985) 900-4857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X NU
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Pharmacy 333600000X NU
Home Infusion Therapy Pharmacy 3336H0001X PHY.007511-IR LA
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

1922 Highway 22 W Ste a
Madisonville, LA 70447-9490

Mailing address

1922 Highway 22 W Ste a
Madisonville, LA 70447-9490
Phone (985) 792-9001

Other identifiers 2

IdentifierTypeStateIssuer
2206672MedicaidLA
2170909OtherPK

Other names 1

  • Coastal Pharmacy Services Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1235653916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 HIGHWAY 22 W STE A",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704479490",
            "telephone_number": "985-792-9001",
            "fax_number": "985-792-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 HIGHWAY 22 W STE A",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704479490",
            "telephone_number": "985-792-9001",
            "fax_number": "985-792-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "FARRAR",
        "authorized_official_first_name": "HUNTER",
        "authorized_official_title_or_position": "CEO & FOUNDER",
        "authorized_official_telephone_number": "985-900-4857",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "LA",
            "license": "PHY.007511-IR",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2206672",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2170909",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madisonville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.